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Missouri rates for HCPCS J9325

Injection Talimogene Laherparepvec Per 1 Millionplaque Forming Units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.55 / $83.83 / $114.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $75.41 / $97.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.93 / $99.82 / $265.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $92.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.75 / $69.75 / $73.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.94 / $73.94 / $87.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.55 / $83.83 / $132.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.80 / $77.79 / $310.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $73.94 / $85.55